Individual
SHANNON SUGARMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30000 HIVELEY ST, INKSTER, MI 48141-1089
(734) 721-7310
Mailing address
2005 PLANAVON ST APT 2, FERNDALE, MI 48220-2908
(248) 444-6978
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301016434
MI
Other
Enumeration date
12/01/2015
Last updated
12/01/2015
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